BCL6 enables Ph+ acute lymphoblastic leukaemia cells to survive BCR-ABL1 kinase inhibition.

TitleBCL6 enables Ph+ acute lymphoblastic leukaemia cells to survive BCR-ABL1 kinase inhibition.
Publication TypeJournal Article
Year of Publication2011
AuthorsDuy C, Hurtz C, Shojaee S, Cerchietti L, Geng H, Swaminathan S, Klemm L, Kweon S-mi, Nahar R, Braig M, Park E, Kim Y-mi, Hofmann W-K, Herzog S, Jumaa H, H Koeffler P, J Yu J, Heisterkamp N, Graeber TG, Wu H, B Ye H, Melnick A, Müschen M
JournalNature
Volume473
Issue7347
Pagination384-8
Date Published2011 May 19
ISSN1476-4687
KeywordsADP-Ribosylation Factor 1, Animals, Cell Survival, DNA-Binding Proteins, Drug Resistance, Neoplasm, Fusion Proteins, bcr-abl, Gene Expression Regulation, Neoplastic, Humans, Mice, Mice, Inbred NOD, Mice, SCID, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Protein Kinase Inhibitors, Transcription, Genetic, Tumor Suppressor Protein p53
Abstract

Tyrosine kinase inhibitors (TKIs) are widely used to treat patients with leukaemia driven by BCR-ABL1 (ref. 1) and other oncogenic tyrosine kinases. Recent efforts have focused on developing more potent TKIs that also inhibit mutant tyrosine kinases. However, even effective TKIs typically fail to eradicate leukaemia-initiating cells (LICs), which often cause recurrence of leukaemia after initially successful treatment. Here we report the discovery of a novel mechanism of drug resistance, which is based on protective feedback signalling of leukaemia cells in response to treatment with TKI. We identify BCL6 as a central component of this drug-resistance pathway and demonstrate that targeted inhibition of BCL6 leads to eradication of drug-resistant and leukaemia-initiating subclones.

DOI10.1038/nature09883
Alternate JournalNature
PubMed ID21593872
PubMed Central IDPMC3597744
Grant ListR01 CA026038 / CA / NCI NIH HHS / United States
R01 CA085573 / CA / NCI NIH HHS / United States
R01 CA137060 / CA / NCI NIH HHS / United States
R01 CA137060-01A1 / CA / NCI NIH HHS / United States
R01 CA137060-02 / CA / NCI NIH HHS / United States
R01 CA137060-03 / CA / NCI NIH HHS / United States
R01 CA137060-04 / CA / NCI NIH HHS / United States
R01 CA139032 / CA / NCI NIH HHS / United States
R01 CA139032-01 / CA / NCI NIH HHS / United States
R01 CA139032-02 / CA / NCI NIH HHS / United States
R01 CA139032-03 / CA / NCI NIH HHS / United States
R01 CA157644 / CA / NCI NIH HHS / United States
R01CA026038 / CA / NCI NIH HHS / United States
R01CA085573 / CA / NCI NIH HHS / United States
R01CA090321 / CA / NCI NIH HHS / United States
R01CA104348 / CA / NCI NIH HHS / United States
R01CA137060 / CA / NCI NIH HHS / United States
R01CA139032 / CA / NCI NIH HHS / United States
R01CA157664 / CA / NCI NIH HHS / United States
R21 CA152497 / CA / NCI NIH HHS / United States
R21 CA152497-01 / CA / NCI NIH HHS / United States
R21 CA152497-02 / CA / NCI NIH HHS / United States
R21CA152497 / CA / NCI NIH HHS / United States